School Form 5 (SF 5) Report on Promotion and Learning Progress & Achievement

Revised to conform with the instructions of Deped Order 8, s. 2015

Region

Division

School ID

School Year

School Name

LRN

District
Curriculum
Grade Level

LEARNER'S NAME
(Last Name, First Name, Middle Name)

Section

GENERAL
Did Not Meet Expectations of the ff.
AVERAGE (Whole ACTION TAKEN: PROMOTED,
Learning Area/s as of end of
numbers for nonCONDITIONAL, or RETAINED
current School Year
honor)

SUMMARY TABLE
STATUS

MALE

FEMALE

TOTAL

PROMOTED

*Conditional

RETAINED

LEARNING PROGRESS AND ACHIEVEMENT (Based on Learners' General Average)

Descriptors & Grading

Scale
Did Not Meet
Expectations
( 74 and below)
Fairly Satisfactory
( 75-79)
Satisfactory
( 80-84)
Very Satisfactory
( 85 -89)

TOTAL MALE

Outstanding
( 90 -100)

MALE

FEMALE

TOTAL

LRN

LEARNER'S NAME
(Last Name, First Name, Middle Name)

GENERAL
Did Not Meet Expectations of the ff.
AVERAGE (Whole ACTION TAKEN: PROMOTED,
Learning Area/s as of end of
numbers for nonCONDITIONAL, or RETAINED
current School Year
honor)

SUMMARY TABLE
PREPARED BY:

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head
(Name and Signature)

REVIEWED BY:

Division Representative
(Name and Signature)

GUIDELINES:
1. Do not inlcude Dropouts and Transferred Out (D.O.4, 2014)
2. To be prepared by the Adviser. The Adviser should indicate the General Average based on
the learner's Form 138. Leave blank for Conditional.

3. On the summary table, reflect the total number of learners PROMOTED (Final Grade of at
least 75 in ALL learning areas), RETAINED (Did Not Meet Expectations in three (3) or more
learning areas) and *CONDITIONAL (*Did Not Meet Expectations in not more than two (2)
learning areas) and the Learning Progress and Achievement according to the individual
General Average. All provisions on classroom assessment and the grading system in the said
Order shall be in effect for all grade levels - Deped Order 29, s. 2015.
4. Did Not Meet Expectations of the Learning Areas. This refers to learning area/s that the
learner had failed as of end of current SY. The learner may be for remediation or retention.

TOTAL FEMALE
COMBINED
Revised as of 3/10/2016 SFRT

5. Protocols of validation & submission is under the discretion of the Schools Division
Superintendent.

School Form 5: Page ____ of ________